PROJECT SUMMARY Coordinated care, the process of identifying at-risk individuals and connecting them with health and social services at the point of care, is an important evidence-based approach for optimizing service connection and retention among individuals at highest risk for poor health outcomes. Survivors of intimate partner violence (IPV) —a group with complex needs—would likely benefit from such care; while IPV coordinated care has been theorized it has not to date been operationalized. Emergency departments (EDs) provide vital and often life-saving care to people experiencing intimate partner violence (IPV) making them an opportune setting to disrupt IPV through intervention. Where EDs meet the acute medical care needs of IPV survivors, networks of specialized community-based organizations (CBOs) support the short- and long-term needs of people seeking to leave violent relationships. Despite their important roles, both service delivery sites face discrete and well- documented challenges in meeting survivors’ needs; few efforts have been made to characterize facilitators of successful transitions for IPV survivors, interrupting a potential pathway for survivors seeking safety from abuse. The purpose of this study is to identify the facilitators of coordinated care allowing us to access the levers of change to create a reliable system of care coordination that is feasible, viable and, importantly, acceptable to all stakeholders, including IPV survivors, hospital and CBO staff. The results of this R21 will inform intervention development using two complementary but distinct approaches— Intervention Mapping and community-based participatory research (CBPR). We will accomplish this goal by conducting 30 in-depth interviews with IPV survivors, hospital and CBO staff to determine individual, interpersonal and organizational levers of change and facilitators of coordinated care resulting in a logic model of change. We will also conduct six focus group discussions (up to 10 participants in each) with IPV survivors, hospital and CBO staff to generate intervention themes, components, scope and sequence. Lastly, in collaboration with a community advisory board of key stakeholders (n=6), we will validate the logic model of change and finalize intervention design. These interrelated aims will provide data to develop standard operating procedures for IPV coordinated care, which can be rolled out and measured in the intervention production phase in future work. We anticipate that our findings will produce a model process for building IPV care coordination, ensuring that IPV survivors are connected to the community-based care they need.